MR. CLARK GUEST

LAADC #LNR2090411 specializing in counselor in Hayden, Idaho

NPI: 1215147400

Provider Type

1

Practice Locations

Mailing Location

212 W IRONWOOD DR # D-104

COEUR D ALENE, ID 83814

📞 2084492509

Practice Location

9494 N GOVERNMENT WAY # 202

HAYDEN, ID 83835

📞 2084492509

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:5/23/2007
Last Updated:5/16/2022

Credentials

Primary Credential:LAADC #LNR2090411